HCPCS J9071 (Cyclophosphamide) Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Chemotherapy Drugs |
| Common Place of Service | • 11 - Office • None |
| Complexity Level | Low |
| Medicare Payment Limit | $0.63  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 55150-0270-99 - CYCLOPHOSPHAMIDE (MDV,PF,LATEX-FREE) 200 MG/1 ML • 55150-0271-99 - CYCLOPHOSPHAMIDE (MDV,PF,LATEX-FREE) 200 MG/1 ML • 55150-0272-01 - CYCLOPHOSPHAMIDE (MDV,PF,LATEX-FREE) 200 MG/1 ML |
National average reimbursement for HCPCS J9071 by major payers:
$1.32
$1.26
$1.68
$1.25
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS J9071 | ||||||
United | J9071 | $0.95 | 1881879716 - TOBENNA NWIZU | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9071 | $1.15 | 1669451548 - ALFONSO VILLAMIL | 742898314 - (TX) COASTAL BEND CANCER CENTER | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9071 | $1.69 | 1699262246 - MICHAEL SONG | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9071 | $0.76 | 1891139630 - JONATHAN LU | 814211994 - GENESIS MEDICAL GROUP | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9071 | $1.38 | 1669425617 - ONCOLOGY-HEMATOLOGY CONSULTANTS PA, THE CENTER FOR CANCER AND BLOOD DISORDERS | 752512142 - (TX) ONCOLOGY-HEMATOLOGY CONSULTANTS, P.A. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9071 | $0.69 | 1467458356 - SYED MAZHER | 756002868 | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9071 | $1.23 | 1760420491 - CENTRAL TEXAS ONCOLOGY ASSOCIATES, P.A., SOUTHWEST REGIONAL CANCER CENTER | 742794882 - (TX) CENTRAL TEXAS ONCOLOGY ASSOCIATES, P.A. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9071 | $0.74 | 1326011347 - MOHAMED HAQ | 742104565 - MOHAMED M. HAQ, M.D. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9071 | $1.19 | 1801024161 - DANIEL HALPERIN | 582030692 - EMORY UNIVERSITY | TX | Medical Oncology Physician (207RX0202X) |
United | J9071 | $0.95 | 1285684944 - BIJAL MODI | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9071 | $0.95 | 1861623340 - HAREESHA VEMUGANTI | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9071 | $0.69 | 1790742476 - ZEINA NAHLEH | 650003177 - CLEVELAND CLINIC FLORIDA A NONPROFIT CORPORATION | TX | Medical Oncology Physician (207RX0202X) |
United | J9071 | $0.94 | 1053799304 - JIAN GUAN | 300520570 - (TX) METHODIST HOSPITAL | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9071 | $0.95 | 1588906457 - GARY LU | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9071 | $4.38 | 1720510100 - ANMOL SINGH | 541795091 - (VA) VIRGINIA CANCER SPECIALISTS, P.C. | TX | Hematology & Oncology Physician (207RH0003X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS J9071 vs. Other Chemotherapy Drugs Codes
The HCPCS J9071 code is part of the Chemotherapy Drugs services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J9071 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 55150-0270-99-NDC | Moderate | CYCLOPHOSPHAMIDE (MDV,PF,LATEX-FREE) 200 MG/1 ML |
| 55150-0271-99-NDC | Moderate | CYCLOPHOSPHAMIDE (MDV,PF,LATEX-FREE) 200 MG/1 ML |
| 55150-0272-01-NDC | Moderate | CYCLOPHOSPHAMIDE (MDV,PF,LATEX-FREE) 200 MG/1 ML |
| J9071-HCPCS | Low | Injection, cyclophosphamide, (auromedics), 5 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J9071. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9071 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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